The nurse is teaching a parent of a 10-year-old child who will be discharged with a venous access device (VAD). What statement by the parent indicates a correct understanding of the teaching?
a. "I should have my child wear a protective vest when my child wants to participate in contact sports."
b. "I should apply pressure to the entry site to the vein, not the exit site, if the VAD is accidentally removed."
c. "I can expect my child to have feelings of general malaise for 1 week after the VAD is inserted."
d. "I should give my child a sponge bath for the first 2 weeks after the VAD is inserted; then I can allow my child to take a bath."
ANS: B
The parents of a child with a VAD should be taught to apply pressure to the entry site to the vein, not the exit site, if the VAD is accidentally removed. The child should not participate in contact sports, even with a protective vest, to prevent the VAD from becoming dislodged. General malaise is a sign of an infection, not an expected finding after insertion of the VAD. The child can shower or take a bath after insertion of the VAD; the child does not need a sponge bath for any length of time.
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